caa a22 4500 475754204 CHVBK 20180406123533.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s005950070029 doi (NATIONALLICENCE)springer-10.1007/s005950070029 Nonoperative Treatment of Reperforated Duodenal Ulcer: Report of Three Cases [Elektronische Daten] [Yu Koyama, Tatsuhiko Hayashi, Nobuhiro Fujita, Koji Kaneko, Yukio Takano, Nobuaki Sato, Katsuyoshi Hatakeyama] During the period between 1983 and 1998, a total of 58 patients were admitted to the surgical department of Akita Red Cross Hospital with acute duodenal perforation. Of these 58 patients, 16 were treated operatively and 42 were treated nonoperatively. Among the 38 men and 4 women who received nonoperative treatment, 3 developed reperforation. The incidence of reperforation was 7.1% and the mean average interval from the initial treatment until reperforation was 3.5 years. Endoscopic biopsy and/or serum anti-H. pylori IgG measurement revealed Helicobacter pylori infection in all three patients. No serious complications developed during the nonoperative treatment of reperforation in these three patients, and their recovery was uneventful. The hospital stay ranged from 10 to 18 days, with a mean stay of 12 days after the first perforation and from 14 to 18 days, with a mean stay of 15.6 days after the reperforation. Nonoperative treatment proved successful as a life-saving procedure for reperforation of a duodenal ulcer in all three patients. Springer-Verlag, 2000 Key words Nonoperative treatment nationallicence Duodenal ulcer nationallicence Reperforation nationallicence Helicobacter pylori nationallicence Koyama Yu Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut Hayashi Tatsuhiko Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut Fujita Nobuhiro Department of Surgery, Akita Red Cross Hospital, 222-1 Kamikitate-saruta-naesirosawa, Akita 010-1495, Japan, JP aut Kaneko Koji Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut Takano Yukio Department of Surgery, Akita Red Cross Hospital, 222-1 Kamikitate-saruta-naesirosawa, Akita 010-1495, Japan, JP aut Sato Nobuaki Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut Hatakeyama Katsuyoshi Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut https://doi.org/10.1007/s005950070029 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070029 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Koyama Yu Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut NATIONALLICENCE 700 1- Hayashi Tatsuhiko Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut NATIONALLICENCE 700 1- Fujita Nobuhiro Department of Surgery, Akita Red Cross Hospital, 222-1 Kamikitate-saruta-naesirosawa, Akita 010-1495, Japan, JP aut NATIONALLICENCE 700 1- Kaneko Koji Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut NATIONALLICENCE 700 1- Takano Yukio Department of Surgery, Akita Red Cross Hospital, 222-1 Kamikitate-saruta-naesirosawa, Akita 010-1495, Japan, JP aut NATIONALLICENCE 700 1- Sato Nobuaki Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut NATIONALLICENCE 700 1- Hatakeyama Katsuyoshi Department of Surgery I, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata 951-8510, Japan, JP aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer